Active NPI
Back to the Basics
- Primary Care Clinic/Center
- Omaha, NE
National Provider Identifier
1679802532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 1560
- Legal business name
- BACK TO THE BASICS
- Practice address
- 9761 Q St
Omaha, NE 68127-3272 - Phone
- (402) 213-1544
- Fax
- (402) 331-4142
- NPI assigned
- Dec 23, 2009
- Last updated
- Dec 23, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Allen Martinsen, D.C.
- Title
- Doctor/Owner
- Phone
- (402) 213-1544
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 1560 | NE | Primary |
Addresses
Primary practice location
9761 Q St
Omaha, NE 68127-3272
Mailing address
PO Box 101
Meadow Grove, NE 68752-0101
Phone (402) 213-1544
National Provider Directory
National Provider DirectoryLocations
9761 Q St
Omaha, NE 68127
Phone (402) 213-1544
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Meadow Grove, NE
- NPI 1376779694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1261526400000",
"number": "1679802532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 101",
"city": "MEADOW GROVE",
"state": "NE",
"postal_code": "687520101",
"telephone_number": "402-213-1544",
"fax_number": "402-331-4142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9761 Q ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681273272",
"telephone_number": "402-213-1544",
"fax_number": "402-331-4142"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BACK TO THE BASICS",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-23",
"last_updated": "2009-12-23",
"status": "A",
"authorized_official_last_name": "MARTINSEN",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "DOCTOR/OWNER",
"authorized_official_telephone_number": "402-213-1544",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NE",
"license": "1560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.